Active NPI
Ryu Medical Corporation
- Adult Mental Health Clinic/Center
- Santa Ana, CA
National Provider Identifier
1578944690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- A25717
- Legal business name
- RYU MEDICAL CORPORATION
- Practice address
- 1633 E 4TH St Ste 138
Santa Ana, CA 92701-5143 - Phone
- (714) 543-4447
- Fax
- (714) 543-4488
- NPI assigned
- Jun 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chun K. Ryu, M.D.
- Title
- President
- Phone
- (714) 543-4447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | A25717 | CA | Primary |
Addresses
Primary practice location
1633 E 4TH St Ste 138
Santa Ana, CA 92701-5143
Mailing address
1633 E 4TH St Ste 138
Santa Ana, CA 92701-5143
Phone (714) 543-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A25717 | Other | CA | STATE LICENSE # |
National Provider Directory
National Provider Directory- Tax ID family
- Chun K Ryu MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Santa Ana, CA
- NPI 1275620429
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Santa Ana, CA
- NPI 1972775252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434326400000",
"number": "1578944690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 138",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015143",
"telephone_number": "714-543-4447",
"fax_number": "714-543-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 138",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015143",
"telephone_number": "714-543-4447",
"fax_number": "714-543-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYU MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A",
"authorized_official_last_name": "RYU",
"authorized_official_first_name": "CHUN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-543-4447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "A25717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "A25717",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- RX Consultants Group Inc
- RX Meds Pharmaceutical
- Rxpartners Incorporated
- Brittney Ryan
- Steven L Ryder, PA
- Chun K. Ryu, M.D.
- S Alexander Soleimani Dental Corp
- S. Myron Goldstein MD Facs Inc
- S.a.G.E. Holistic Health & Wellness Center
- S.a.G.E. Holistic Individual, Marriage & Family Therapy Professional C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.